Seat belt use in the ambulance patient compartment by emergency medical services professionals is low regardless of patient presence,seating position,or patient acuity

Background: Inconsistent use of seat belts in an ambulance may increase the risk of injury for emergency medical services (EMS) professionals and their patients. Our objectives were to: (1) describe the prevalence of seat belt usage based on patient acuity and seat location, and (2) assess the association between EMS-related characteristics and consistent use of a seat belt. Methods: We administered a cross-sectional electronic questionnaire to a random sample of 20,000 nationally-certified EMS professionals, measuring seat belt use in each seating location of an ambulance during transport of stable, critical, or no patients. We included practicing, non-military, emergency medical technicians or higher who reported working in ambulances. We used multivariable logistic regression models to estimate the odds of consistent (≥50% of the time) use of seat belts for the rear-facing jump seat and right-sided crew bench during transport of stable and critical patients. Results: A total of 1431 respondents were included in the analysis. Patient compartment seat belt use varied with the highest use in forward-facing seats when no patient was being transported (59.8%) and lowest use in the left-side “CPR” seat with a critical patient (9.4%). Only 40.2% of respondents reported an agency policy regarding seat belt use while riding in the patient compartment. In all multivariable logistic regression models, advanced life support level certification and fewer years of experience were associated with decreased odds of consistent seat belt use. An agency seat belt policy was strongly associated with increased odds of seat belt use in the patient compartment. Conclusions: Seat belt use was low and varied by seating location and patient acuity in the patient compartment of an ambulance. Practical Applications: EMS organizations should consider primary prevention approaches of provider education, improved ambulance designs, enactment and enforcement of policies to improve seat belt compliance and provider safety.     

矿工心理因素、工作压力反应和不安全行为关系研究

为研究在巨大工作压力下，矿工的心理因素与工作压力反应和不安全行为的关系，以问卷的形式调查陕西省2家具代表性煤矿的工人，分别以矿工的心理因素、工作压力反应和作业过程中的不安全行为作为外生变量、中介变量和内生变量，构建心理因素、压力反应和不安全行为的结构方程模型。通过对调研数据处理与分析，得出如下结论:本研究中的4项心理因素，性格因素、心理素质、注意力和工作态度显著影响不安全行为的发生；性格因素、心理素质和注意力对压力反应有显著影响；工作态度与煤矿工人的压力反应的关系不显著；性格因素、心理素质、注意力和工作态度通过影响矿工的压力反应，间接影响矿工的不安全行为。     

响应面法优化黄粉虫幼虫处理餐厨垃圾饲养条件的研究

研究了黄粉虫幼虫处理餐厨垃圾的方法.首先在饲养温度、饲料含水量和饲养密度等条件下进行单因素实验,然后,以利用率为指标,运用响应面法优化了黄粉虫幼虫处理餐厨垃圾的饲养条件,结果表明,最佳饲养条件为饲养温度26.7℃、饲料含水量14.5％、饲养密度4.1头/cm2.在此饲养条件下,黄粉虫对餐厨垃圾利用率理论值为38.72％,实际餐厨垃圾利用率为38.88％,相对误差为0.41％,说明利用黄粉虫幼虫处理餐厨垃圾具有较好的效果.     

考虑保护层响应的炼化过程系统风险动态转移模型

为适时、有效地控制炼化过程系统风险,以模糊Petri网(FPN)为基础,针对炼化系统动态退化性和系统中保护层对风险转移的干预性,建立考虑保护层响应的炼化过程系统风险动态转移模型。描述基于FPN的保护层作用动态机制,分析炼化系统在保护层干预下,从非正常干扰触发开始至炼化系统退化过程的风险变化趋势。最后通过正己烷缓冲罐案例分析验证模型。结果表明:正己烷缓冲罐在开始运行的30 000 h内,系统风险等级呈阶段性变化,在工作的前16 800 h,风险为Ⅰ级;第16 800~27 600 h,风险为Ⅱ级;第27 600~30 000 h,风险为Ⅲ级。     

农地整治权属调整中农户认知对行为响应的作用机制--基于改进TPB及多群组SEM

农地整治权属调整是实现农业规模化和现代化的重要手段,而农户有效参与是推动权属调整的内在动力,研究农地整治权属调整中农户认知对其行为响应的作用机制,有助于高效引导农户参与权属调整,并为制定农地整治权属调整的政策提供科学依据。基于改进计划行为理论和湖北省11个县(市、区)1044份农户抽样调查数据,采用多群组结构方程模型探究了农地整治权属调整中不同类型农户认知对其行为响应的作用机制。结果表明:农地整治权属调整中农户行为逻辑符合改进计划行为理论,农户的行为态度、主观规范、知觉行为控制交互影响行为意愿,进而转换为行为响应,政府支持在行为意愿和行为响应之间起到部分中介作用。总体上,农户行为响应是"自发性""诱发性"和"约束性"三重行动逻辑的结合,且"自发性"占主导地位。多群组结构方程估计结果表明,纯农型与兼业Ⅰ型农户的行为响应受到"自发性""诱发性"和"约束性"三重影响,兼业Ⅱ型农户受到"自发性"和"诱发性"双重影响,非农型农户仅受到"诱发性"单一影响。因此,为引导农户积极参与农地整治权属调整,应该分别针对各类农户相应地提高其参与的"自发性"和"诱发性",降低"约束性",充分发挥农村社会经济组织的作用,将四种不同类型农户的利益需求统筹考虑,降低权属调整过程中利益协调难度。     

Location selection of emergency supplies repositories for emergency logistics management: A variable weighted algorithm

With the development of the city, the number of establishments that are proposed or under construction is increasing year by year, and if they are industries that handle flammable, explosive, toxic, harmful, and dangerous substances, the public safety will face great threats, which will bring great challenges to emergency rescue work. Therefore, providing reasonable solutions to the problem of location selection of emergency supplies repositories are necessary for improving the emergency response efficiency in chemical industrial parks. A mathematical model for location selection of emergency supplies repositories in emergency logistics management are presented considering more actual factors. The optimization objectives of the model are to minimize total transport length and cost. And then a Variable Weighted Algorithm is designed to solve the model, where an auxiliary function was constructed with different methods of building weighting factors based on the theory and method of solving multi-objective optimization problems in operational research. Simulation results show the effectiveness and feasibility of the models and algorithms presented in this paper.     

Hierarchical pre-positioning of emergency resources for a chemical industrial parks concentrated area

Accidents in chemical industrial parks always cause fateful damage which can be reduced greatly by providing emergency resources sufficiently and timely. One effective way to enhance the emergency response capacity and agility is by pre-positioning of emergency resources for the potential accidents. The Yangtze River Delta of China is a large region where a large number of chemical industrial parks are concentrated. According to the distributing characteristics of demand points in this region, a mathematical model of hierarchical pre-positioning of emergency resources is proposed to ensure that accidents in all chemical industrial parks in this region can be responded timely and effectively. Considering accident domino effect and minimizing the total cost, the model gives optimal decisions of pre-positioning emergency resources, including the location and inventory of depots. The innovative hierarchical pre-positioning method greatly reduces the total cost in the premise of sufficient preparation for supplying emergency resources. Finally, in a visual graph of the Yangtze River Delta, the model is applied and the result shows its applicability.     

不同警告方式下驾驶人应激反应能力模拟试验研究

为研究在道路突发危险场景下先进驾驶辅助系统的不同警告方式对驾驶人应激反应能力的影响，利用自主开发的驾驶人应激反应能力测试软件，以计算机模拟与驾驶模拟器为试验平台，以实际驾驶视频为试验场景，选取操作准确率和反应时间为测试指标，分析不同警告方式下驾驶人的应激反应能力。研究结果表明:视觉警告可有效缩短应激反应时间；视听觉组合警告中，视觉警告占主导作用，听觉警告起辅助作用；在真实场景视频试验环境下，驾驶模拟器模拟试验的操作效果优于计算机模拟试验。     

Severity of e-scooter rider injuries associated with trip characteristics

Introduction: E-scooter rider injuries have been growing, but little is known about how trip and incident characteristics contribute to their severity. Method: We enrolled 105 adults injured while riding e-scooters who presented to an emergency department in Washington, DC, during 2019. Enrolled participants completed an interview during the emergency department visit, and their charts were abstracted to document their injuries and treatment. Logistic regression examined the association of incident location and circumstances with the likelihood of sustaining an injury on the Abbreviated Injury Scale (AIS) ≥ 2, while controlling for rider characteristics. Results: The most common locations of e-scooter injuries in our study sample occurred on the sidewalk (58%) or road (23%). Accounting for other trip and rider attributes, e-scooter riders injured on the road were about twice as likely as those injured elsewhere to sustain AIS ≥ 2 injuries (RR, 1.96; 95% CI, 1.23–2.36) and those who rode at least weekly more often sustained AIS ≥ 2 injuries compared with less frequent riders (RR, 1.86; 95% CI, 1.11–2.32). Conclusions: Greater injury severity for riders injured on the road may reflect higher travel speeds. Practical applications: Injury severity associated with riding in the road is one factor that jurisdictions can consider when setting policy on where e-scooters should be encouraged to ride, but the risk of any crash or fall associated with facilities should also be examined. Although injuries are of lower severity on sidewalks, sharing sidewalks with slower moving pedestrians could potentially lead to more conflicts.     

Determination of emergency assembly point for industrial accidents with AHP analysis

Major industrial accidents, which are a type of technological disaster, are very important due to the security risks and financial damages that threaten the environment and human health in today's industrialization. In this study, it was aimed to propose an approach that will guide the decision makers to choose the emergency assembly point that should be in the distance or shelter where the employees will be not affected by the negative consequences of emergencies within the scope of the obligation of industrial establishments preparing an internal emergency plan for major industrial accidents. For this purpose, in the first stage, modelling studies were carried out with ALOHA (Areal Locations of Hazardous Atmospheres) Software over possible accident scenarios in an industrial establishment containing different types and amounts of hazardous chemicals. As a result of modelling studies, possible toxic emissions, fire and explosion effect distances and threat zones for the industrial establishment were obtained. In the second stage, the weights of the main and sub-selection criteria to be used in determining the assembly point were calculated. This stage was carried out based on the comparison data obtained as a result of the questionnaire applied to professionals with the help of AHP (Analytic Hierarchy Process) method, which is one of the multi-criteria decision making methods. In the last stage, three candidate points were selected considering the physical effect areas determined in the first stage in the boundaries of the establishment, where the employees were evaluated to be affected the minimum from the negative consequences of industrial accidents. These candidate points were evaluated again with the AHP method on the basis of the sub-criteria whose relative weights were determined in the second stage and a selection was made. As a result, an approach that provides the solution of our problem was obtained.